Individual
MENDY SUE WOLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 TROOST AVE, KANSAS CITY, MO 64131-3769
(816) 943-0101
Mailing address
2011 CORONA RD, STE 201, COLUMBIA, MO 65203-2548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009014402
MO
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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